Black, Elizabeth Jean

Black, Elizabeth Jean is an individual health care provider with primary practice located at 142 Brighton Lake Rd , Brighton MI 48116-1738. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Black, Elizabeth Jean can be contacted via phone (810) 844-1476.

Contact Information

Primary practice address
142 Brighton Lake Rd Brighton MI 48116-1738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L1108729 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801089051 Michigan

Profile Details

NPI number 1184805715
LBN Legal business name Black, Elizabeth Jean
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Dec 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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